Management of Primary Health Care Facilities Based on Performance Evaluation

The article poses a problem in consistency of approaches to the formation of a set of indicators for evaluating the activity of primary health care facilities with the informational needs of the surrounding institutional environment in new conditions. It was determined that the formation of the health care system in Ukraine currently declares a review of not only the medical, but also the institutional role of primary health care institutions, which implies the initiation of the participation of health care institutions in a global dialogue with elements of the surrounding institutional environment. The purpose of the article is a logical generalization of the key problems of domestic approaches to management and the basis assessment of the effectiveness of primary health care institutions and the development of principles for improving the assessment of institutions in interaction with the elements of the institutional environment. The essence has been studied economic and statistical evaluation methods, the most widespread in the world practice of evaluation and analysis of activities in the field of health care. A chain of forming attributes of the evaluation system has been developed, which determines the sequence of influence of each of the attributes on the final indicator. The institution's institutional environment has been structured primary health care, which is based on the possibilities of influence of individual institutions on the functions performed by the institution. The relationship between potential elements of the institutional environment and the functions of the institution is defined and summarized primary health care and the order of forming attributes of evaluation indicators, which can be used as a basis for developing a set of indicators for evaluating the health care institution's activity in a specific institutional environment.